Information Collection

Annual Earnings Test--Direct Mail Follow-Up Program Notices

IC 9242 under ICR 200011-0960-001 · OMB 0960-0369.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0369 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Annual Earnings Test--Direct Mail Follow-Up Program Notices	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-L9779	No	No
Form	SSA-L9781	No	No
Form	SSA-L9778	No	No
Form	SSA-L9785	No	No
Form	SSA-L9784	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 225,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	225,000	-90,000	315,000
Annual IC Time Burden (Hours)	37,500	-15,000	52,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.